使用实施科学方法确定建立私人虚拟医院的考虑因素
Olivia J Fisher1,2, Caroline Grogan3,4, Andrew Barron3,5
1Wesley Research Institute, Brisbane, Australia. Olivia.Fisher@wesleyresearch.org.au.
实施虚拟医院需要了解实施前的因素. 关键的推动因素包括领导力支持,而限制性资金模式对成功的虚拟医院采用构成重大障碍.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 虚拟医院在全球范围内不断扩大,但研究往往忽视了实施因素.
- 成功采用需要了解实施前的决定因素,以有效地定制模型.
研究的目的:
- 确定设计和实施澳大利亚私人虚拟医院的预实施决定因素.
- 为医疗保健服务提供有关定制虚拟医院模型的信息,以提高适应性,可接受性,普及性,有效性和可持续性.
主要方法:
- 使用雪球采样和半结构面试 (n=37) 的定性预实施决定性研究.
- 参与者包括消费者,照顾者,临床医生以及来自医院,卫生服务和老年护理部门的领导.
- 演框架分析采用了PERCS实施科学框架.
主要成果:
- 确定了关键的推动因素:强大的执行领导力,对农村/偏远服务的热情,明确的愿景和对优质护理的承诺.
- 主要障碍:限制性融资模式阻碍了创新. 其他障碍包括技术,沟通和劳动力问题.
- 临床医生对虚拟医疗保健安全性和适用性的意见各不相同.
结论:
- 这种实施科学方法确定了虚拟医院成功的关键决定因素,在当地和国际上都具有相关性.
- 进一步评估实施结果对于持续改进和可持续性至关重要.
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